Sacral cyst is a general term for cystic lesions in the sacral canal, including perineurial cyst, meningeal cyst, meningeal diverticulum, arachnoid cyst and other types. Sacral cyst has a high incidence and is a common clinical disease. Although most sacral cysts have no obvious clinical symptoms, some patients have discomfort that can affect their life and work, which is called symptomatic sacral cysts. At present, there are many controversies about the understanding of sacral cyst, and the treatment is not standardized, so it is urgent to formulate an industry consensus to standardize it. Therefore, the Neurosurgery Branch of Chinese Medical Association organized well-known experts in related fields across the country to jointly write this consensus, hoping to improve the understanding of sacral cyst, standardize the diagnosis and treatment process of this disease, and improve the treatment effect.